Active NPI
The Pediatric Connection, Inc
Doing business as Aveanna Healthcare
- Nursing Care Agency
- Staunton, VA
National Provider Identifier
1619092087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- THE PEDIATRIC CONNECTION, INC
- Doing business as
- Aveanna Healthcare
Thrive Skilled Pediatric Care - Practice address
- 11 N Central Ave Ste 140
Staunton, VA 24401-4212 - Phone
- (804) 675-4550
- Fax
- (434) 227-5703
- NPI assigned
- Mar 21, 2007
- Last updated
- Mar 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Buckhalter
- Title
- Cfo
- Phone
- (470) 464-8000
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Nursing Care Agency | 251J00000X | Primary | ||
| Pediatric Registered Nurse | 163WP0200X | 497431 | VA | |
| Pediatric Registered Nurse | 163WP0200X |
Addresses
Primary practice location
11 N Central Ave Ste 140
Staunton, VA 24401-4212
Mailing address
400 Interstate North Pkwy SE Ste 1600
Atlanta, GA 30339-5047
Phone (470) 464-8000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30015177800012 | Medicaid | VA | |
| 30015177800005 | Medicaid | VA |
Other names 2
- Aveanna Healthcare
- Thrive Skilled Pediatric Care
National Provider Directory
National Provider Directory- Tax ID family
- Aveanna Healthcare
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Aveanna Healthcare
- Nursing Care Agency
- North Chesterfield, VA
- NPI 1932224573
-
dba Aveanna Healthcare
- Respite Care
- North Chesterfield, VA
- NPI 1306024641
Locations
199 Spotnap Rd
Ste 6
Charlottesvle, VA 22911
Phone (434) 220-6000
11 N Central Ave
Ste 103
Staunton, VA 24401
11 N Central Ave
Ste 140
Staunton, VA 24401
Phone (804) 675-4550
11 N Central Ave
Ste 7
Staunton, VA 24401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772755200000",
"number": "1619092087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 INTERSTATE NORTH PKWY SE STE 1600",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303395047",
"telephone_number": "470-464-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 N CENTRAL AVE STE 140",
"city": "STAUNTON",
"state": "VA",
"postal_code": "244014212",
"telephone_number": "804-675-4550",
"fax_number": "434-227-5703"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE PEDIATRIC CONNECTION, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-21",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A",
"authorized_official_last_name": "BUCKHALTER",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "470-464-8000"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "VA",
"license": "497431",
"primary": false
},
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30015177800012",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30015177800005",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Aveanna Healthcare",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Thrive Skilled Pediatric Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Staunton, VA
- Edward Ross Testerman Jr., DDS
- The Arc of Augusta, Inc. (The Arc of Augusta)
- The Assistive Technology Works, Inc.
- The Genesis Resort for Birth, LLC
- The Giant Company, LLC (Martin's Pharmacy #6426)
- The Pediatric Connection, Inc. (Aveanna Healthcare)
- The Shenandoah Apothecary
- The Space: a Counseling Center, LLC
- Alexander Randolph Thomas
- Daphne Thomas, PMHNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.